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Brief summary of implementation of electronic health records
Are electronic medical records a cure for health care
Are electronic medical records a cure for health care
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In recent years, electronic health records have become a forefront to quality health care. However, prior to this time medical records were stored in paper charts. Furthermore, even with electronic health records, much patient information is still printed and transmitted along the continuum of care. This continues to allow vulnerability in access to protected patient information and potential for data breaches. Breaches can occur due to human error, improper disposal, hacking of information, and numerous other reasons. One breach occurred due to both human error and improper disposal in a regional hospital located in Pennsylvania. Regional Center, a physician-owned and managed diagnostic facility announced that on December 19, 2015, Radiology …show more content…
The information released dated from 2005-2012 and may have contained patient names, addresses, phone numbers, social security numbers, dates of birth, health insurance numbers, and other medical status and assessment information as well as financial information gathered in the patient medical and financial records. As soon as Radiology Regional Center learned of the incident, the hospital made every effort to retrieve the records, including a foot search of the surrounding area by more than a dozen of its employees and physicians. Furthermore, a cautionary second search of the area was conducted by foot on December 21, 2015 and a third was conducted on December 22, 2015. Due to the searches, Radiology Regional Center believed all records breached had been located and …show more content…
CMHP reported that patient records were found in a dumpster on November 27, 2015. CMHP determined one of its merchants had disposed of lab records by placing them in the dumpster on November 25, 2015. Patients’ names, physicians’ names, accession numbers, types of study, guarantor information, health insurance information, diagnoses, and other clinical information may have been exposed (Snell, 2016). Moreover, Social Security numbers and driver’s license numbers could have been included in some cases. It is reported that 113,528 individuals were impacted. A statement issued by CMHP states, “To help prevent this from happening in the future, we have taken steps to re-inventory all document storage locations, significantly reduced or eliminated retention of paper documents when the information is electronically available, and re-educated our facilities management contractors on the requirements for physical storage relocation projects,” (Snell,
Answer: Confidentiality of a patient’s file with personal and medical information in the healthcare industry is crucial. However, under the HIPPA guidelines it is legally allowed to view a patient’s file if it pertains to the patients medically necessary. Therefore, being that this patient left his prescriptions and after care instructions after his outpatient surgery procedure, it is vital that he be contacted so that healing complications are prevented during his recovery.
Health Information Management (HIM) professional: Will expect that the healthcare providers are honest, accurate in their diagnoses, and the charges are legal, fair, and correspond to services rendered on the given day. All inaccuracies must be corrected as soon as discovered to inspire confidence in the HIM professional, the facility, and all the organization’s employees. All stakeholders depend upon the HIM professional to maintain the accuracy, privacy and security of the patient’s medical charts, and thereby secure the reputation of the facility and welfare of the patients.
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
Abstract: Electronic medical databases and the ability to store medical files in them have made our lives easier in many ways and riskier in others. The main risk they pose is the safety of our personal data if put on an insecure an insecure medium. What if someone gets their hands on your information and uses it in ways you don't approve of? Can you stop them? To keep your information safe and to preserve faith in this invaluable technology, the issue of access must be addressed. Guidelines are needed to establish who has access and how they may get it. This is necessary for the security of the information a, to preserve privacy, and to maintain existing benefits.
Today, you have more reason than ever to care about the privacy of your medical information. This information was once stored in locked file cabinets and on dusty shelves in the medical records department.
Medical facilities have to follow certain guidelines. They have to insure patient’s privacy in all areas. The medical facility has to protect the patient medical records and all healthcare information for the patient. If paper files are still in use at the medical facility, it should be stored, where it can be locked at close of business. Also, medical files should not be kept where individuals, other than those that need to use them, have access to them. Electronic medical records are being pushed for all facilities, large or small. The thought is less chance of someone having access that should not. There are firewalls, password use, encryption and other means of protecting electronic health records.
6. Should individuals and organizations with access to the databases be identified to the patient
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the adaptation, utilization, and functionality of an EHR. The impact the EHR could have on a general population is invaluable; therefore, it needs special attention from a trained professional.
Medical records and other information are not public property and the ethical thing to do is to treat it as that. There have been numerous cases where an individual would sue a company because their personal information and/or medical records were not properly secured and there was a breach. There have also been times when the breach was intentional where an employee was negligent. One example dates back to June 2014 where a retiring physician filed a complaint against her place of employment when they dumped boxes of patients’ records in her driveway (HHS Press Office,
The topic of the day is the advantage of interpersonal communication in radiology. Although you may be wondering why or how this benefits the patients as well as the doctors, the communication between the two is an appropriate and necessary aspect for solving a problem or learning more about the patient. In today’s world, there is many ways of communication such as social media, e-mail, text, calls, etc.
I am writing to express my gratitude to you for your continued support regarding Electronic Health Records. As you know Electronic Health Records (EHR) is a central key part of the evolution of computerized documentation in the health care field. Kelly, Brandon and Docherty, 2011 informs that “64% of healthcare facilities still use paper-based documentation; these units must convert to electronic health records in the near future or face penalties.”
Probably the biggest concern of having electronic medical records is whenever things are computerized, you have to take extra measures when it comes to protecting important data from unauthorized access. Companies will need to adopt extreme diligence in order to protect sensitive data from malicious hackers and cyber criminals. According to Mearian (2016), “Cyberattacks will cost hospitals more than $305 billion over the next five years and one in 13 patients will have their data compromised by a
41). It was around this time that healthcare organizations started to recognize the importance of tracking health information and setting standards to which each facility should adhere to; thus, accreditation organizations such as JCAHO (Joint Commission on the Accreditation of Healthcare Organizations) were born (Mervat, Grostick, & Hanken, 2014, p. 44). Fast forwarding a few decades, during the 1980s personal computers were more easily accessible and affordable, and the healthcare industry took the opportunity to begin integrating computers into the field, resulting in storing patient records in databases (Mervat, Grostick, & Hanken, 2014, p. 45). Throughout the 1990s, policy was updating and developing; healthcare workers recognized the need to protect patient privacy (Mervat, Grostick, & Hanken, 2014, p. 47). In 2010, healthcare information management set a goal to move toward a paperless health record (Mervat, Grostick, & Hanken, 2014, p. 47). Today, health information management is responsible for “EHRs and accompanying technology like health information exchange, computer-assisted coding, voice recognition software, and patient portals” (Dimick,
While living in the twenty first century we are experiencing the age of technological innovation along with the need for integration. One of the results of these factors in the health care field is the creation and implementation of electronic health records. Electronic health records are electronic medical records that contain a patient’s medical history, billing information and other personal information. These electronic health records are incredibly beneficial to both providers and patients while having the ability to greater integrate our health care delivery system. But no reward comes without risk.
Ragavan, V. (2012, August 27). Medical Records Pals Malaysia : 17 Posibble Reasons How Electronic Medical Records (EMR) Might Support Day-to-Day Patient Care. Retrieved from Medical Records Pals Malaysia: http://mrpalsmy.wordpress.com/category/emr/